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For Patients & Visitors / Health Forms

Instructions prior to your surgery

We would like to ensure that your experience on the day of surgery is a positive one.  You can help by preparing in advance. Please be sure to follow the instructions given to you by your surgeon. In addition, please review and fill out the attached documents and bring them with you the day of your appointment. Please select the documents below according to the hospital where you are scheduled to have surgery.

For Patients at Ronald Reagan UCLA Medical Center 

Make sure you have completed all the items that pertain to you.


For Patients at Santa Monica-UCLA Medical Center and Orthopaedic Hospital

Make sure you have completed all the items that pertains to you.

To view these forms, Adobe Acrobat Reader is required.


Advance Healthcare Directive (AD)

What is an Advance Directive?

Advance Healthcare Directive Forms are available on our CHEC website.  The forms are available in English, Spanish and Chinese.

 










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